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Job Summary
The Medicare Advantage Clinical Pharmacist is responsible for optimizing medication therapy and improving health outcomes for patients enrolled in Medicare Advantage plans within the health system. This role involves direct patient care under Collaborative Drug Therapy Management (CDTM) agreements, working closely with physicians and other healthcare professionals to manage chronic conditions, ensure medication adherence, and reduce total cost of care.
Key Responsibilities:
· Clinical Care & CDTM:
o Provide comprehensive medication management for patients under CDTM protocols in collaboration with prescribers.
o Initiate, modify, or discontinue medications as authorized by CDTM agreements.
o Monitor therapeutic outcomes, lab values, and adverse effects to ensure safe and effective therapy.
· Medicare Advantage Program Support:
o Conduct medication reviews for high-risk patients, including those with polypharmacy or chronic conditions.
o Implement strategies to improve Star Ratings and HEDIS measures (e.g., medication adherence, statin use in diabetes, MTM completion).
o May need to support transitions of care to reduce hospital readmissions and improve continuity of care.
· Patient Engagement & Education:
o Provide counseling on medication use, adherence, and lifestyle modifications.
o Address barriers to medication access, including cost and formulary restrictions.
· Interdisciplinary Collaboration:
o Work closely with physicians, nurses, case managers, and social workers to coordinate care plans, if needed.
o Document interventions and outcomes in the electronic health record (EHR).
· Quality Improvement & Reporting:
o Track and report clinical outcomes, cost savings, and performance metrics related to Medicare Advantage initiatives.
o Participate in quality improvement projects and population health strategies.
What You'll Bring
Qualification Requirements:
Education: Doctor of Pharmacy (PharmD) required.
Licensure: Active pharmacist license in MA & NH; CDTM certification or eligibility required.
Experience:
2+ years of clinical pharmacy experience, preferably in ambulatory care or managed care.
Familiarity with Medicare Advantage programs, Star Ratings, and MTM services.
Skills:
Strong clinical knowledge in chronic disease management (e.g., diabetes, hypertension, hyperlipidemia).
Excellent communication and patient engagement skills.
Proficiency with EHR systems and data analytics tools.
Additional Job Details (if applicable)
Schedule and Work Model
Full time (40 hours) Monday through Friday, approximately 8:30am-4pm.
Primarily remote; occasional on-site meetings at Assembly Row in Somerville, MA.
May include telehealth visits and outreach for medication management.
Hybrid
399 Revolution Drive
40
Regular
Day (United States of America)
Pay Range
$91,187.20 - $132,600.00/Annual
Grade
7
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
6010 Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.